Healthcare Provider Details

I. General information

NPI: 1841363702
Provider Name (Legal Business Name): LYNDA LEIGH ARTUSIO C.R.N.P.-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9093 RIDGEFIELD DR STE 104
FREDERICK MD
21701-6711
US

IV. Provider business mailing address

9093 RIDGEFIELD DR STE 104
FREDERICK MD
21701-6711
US

V. Phone/Fax

Practice location:
  • Phone: 240-913-5950
  • Fax: 240-425-4250
Mailing address:
  • Phone: 301-682-4100
  • Fax: 301-682-9100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR091414
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: